Individual provider Active NPI

Leah Shipman, COTA

  • Occupational Therapy Assistant
  • Rochester, NH
National Provider Identifier
1225496169
Registry record updated Feb 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0723 Issued in NH
Practice address
40 Whitehall Rd
Rochester, NH 03867-3225
Phone
(603) 332-7711
NPI assigned
Feb 7, 2016
Last updated
Feb 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0723 NH Primary

Addresses

Primary practice location

40 Whitehall Rd
Rochester, NH 03867-3225

Mailing address

17 Flat Rock Bridge Rd
Rochester, NH 03868-8608
Phone (830) 688-2264

Other names 1

  • Leah Santos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0723NHMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454803200000",
    "number": "1225496169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FLAT ROCK BRIDGE RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038688608",
            "telephone_number": "830-688-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WHITEHALL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673225",
            "telephone_number": "603-332-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "LEAH",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NH",
            "license": "0723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "SANTOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.